# CPS DRUG STORE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CP's Drug Store LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447578935
- **Authorized official:** CHARLES PEPE (PRESIDENT/PHARMACIST)
- **Authorized official phone:** (985) 732-0444

## Contact information

- **Practice address:** 426 AVENUE B, BOGALUSA, LA 70427-3710
- **Practice address phone:** (985) 732-0444
- **Practice address fax:** (985) 735-9513
- **Mailing address:** 426 AVENUE B, BOGALUSA, LA 70427-3710
- **Mailing address phone:** (985) 732-0444
- **Mailing address fax:** (985) 735-9513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHY.006243-IR | LA | Yes |

## Other

- **Enumeration date:** 05/10/2010
- **Last updated:** 12/29/2010